Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Walmart Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1730628728

Walmart Inc is a Durable Medical Equipment & Medical Supplies in Fort Mohave, Arizona. Licensed in Arizona. Registered with an NPI since 2017.

Licensed in
AZ
In the registry since
2017
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5210 S Highway 95
Fort Mohave, AZ 86426-9223
Phone: (928) 768-9022
Fax: (928) 788-3823
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence Y007179 (AZ)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1730628728
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director Enrollment · (480) 853-0515
Other names Walmart Pharmacy 10-4203
NPI enumeratedFebruary 23, 2017
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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